mepilex ag by dr. sunil keswani, national burns centre, airoli

The use of Mepilex-Ag in BURNS

Dr Sunil KeswaniNational Burns Centre,Airoli, Navi Mumbai.

Dr. Sunil Keswani, National Burns Centre, www.burns-india.com, [email protected]

*Delphi round 1

The problem• All wounds are contaminated.

• One reason for impaired healing

• Infected wounds are more painful*

Wound Care DivisionDr. Sunil Keswani, National Burns Centre,

www.burns-india.com, [email protected]

”Patients with a wound infection generally suffer from more pain than those with

non-infected wounds.”

85%



Subtle signs of infection some odour, pain or

exudateHealing progressing

normally

Increasing signs- increasing odour

pain and/ or exudate

Healing no longer progressing

normally

Overt signs of local and systemic

infection; pyrexia, raised blood cell

count

Overt signs of local infection; pus,

swelling, erythema odour, pain, local

warmthSurrounding tissue

involvement

Identifying the problem

Ref: EWMA position document : Management of wound infection. London: MEP Ltd,2006


Standard carereview and assess

Start local antimicrobial for 14 days then reassess

Ref: EWMA position document : Management of wound infection. London: MEP Ltd,2006

Subtle signs of infection some odour, pain or

exudateHealing progressing

normally

Increasing signs- increasing odour

pain and/ or exudate

Healing no longer progressing

normally

Overt signs of local infection; pus,

swelling, erythema odour, pain, local

warmthSurrounding tissue

involvement

Overt signs of local and systemic

infection; pyrexia, raised blood cell

count

Managing the problem

Systemic antibiotics and

possibly local AM

Systemic antibiotics and

possibly local AM



When to use anti-microbial dressings?



Why would you use a dressing with Safetac®?

85%

• Safetac prevents pain and trauma - hurts less at dressing changes and

during wear- prevents maceration

• Absorption and retention• With or without border• Reliable antimicrobial action

- onset within 30 minutes- effect for 7 days- broad effect; MRSA, VRE


Safetac technology – how it works

Safetac adhesive technology

Traditional adhesives

The Safetac layer is extremely soft and moulds to the uneven surface of the skin to create a large effective contact area. On dressing removal, Safetac distributes the peel force over a large area of the skin under the dressing. The benefit of this is that skin stripping is minimized, the skin barrier preserved and pain minimized at removal.

Traditional adhesives are relatively inflexible and onlymake contact with few points on the top of the skin. Traditional adhesives therefore require an aggressive adhesion in order to stay in place. On removal the skin cells at the contact points will be stripped and the skin barrier compromised. This will cause pain.


Non-adherent to moist wound bed• Less painful dressing removal• Minimised risk of wound disturbance• Easier dressing changes for

clinicians

Will adhere gently to dry skin • Protects the surrounding skin from

maceration• No skin prep needed to protect the

skin

No stripping of epidermal cells• Less painful dressing removal• Less damage to surrounding skin

Leaves no residues• Easier to clean the wound and

surrounding skin.• No residues left in the wound

Non-sensitizing• No skin allergies• Potentially longer wear time

Can be repositioned • Easy to dress wounds, saves time• Less waste, cost effective


4 sizes for chronic and acute wounds

2 sizes for heel wounds

Flexible, effective and less painfulMepilex® Ag


Safetac® layerLess pain and trauma


Unique patented silver foam absorption and antimicrobial action


Mepilex Ag

Exudate

Safetac® layer

Burn / Wound bed


Areas of use

Low to moderate exuding wounds where an antimicrobial effect is wanted.

Leg and foot ulcers, pressure ulcers, partial thickness burns - also for prevention.


Wound examples


Debride and cleanse the wound according to local protocol

Choose a dressing where the wound pad exceeds the wound margins with at least 2 cm

Change according to wound status; exudation, level of contamination etc.

How to use


Less pain for the patient will increase quality of life and most probably also be beneficial for the wound healing

Soft and conformable for highest comfort and full range of motion

Substantial and significant benefits in cost effectiveness in the treatment of partial thickness burns*

*Puma 415

What Mepilex® Ag offers


CASE 1 – Arm Burn

36 HRS POST-BURNPreviously treated with Silver Sulfadiazine

Application of Mepilex AgAntimicrobial soft silicone foam dressing

Burn Case Studies

Burn Case Study 1


Case Study 1 – Day 1

CASE 1 – Arm Burn

36 HRS POST-BURNPreviously treated with Silver

Sulfadiazine

Application of Mepilex AgAntimicrobial soft silicone foam

dressing

Case Study 1 - Day 5


Case Study 1 - Day 5Range of Motion


No staining & no tissue damage Case Study 1 - Day 5


Application of the dressings



Secondary dressings Case Study 1 - Day 5


Removal of Mepilex Ag Case Study 1 - Day 9


• Absence of Wound Bed Staining

• Reduces bacterial colonization

• Begins to inactivate common wound pathogens within 30 min.

• Kills a broad range of pathogens,including MRSA

• Sustained antimicrobial effectfor up to 7 days

Powerful Antimicrobial Action

Case Study 1 - Conclusion


Case Study 2 – Hand burn

Burn Case Study 2

• Maintains it’s flexible nature

• Does not inhibit range of motion exercising

• Conforms easily to body contours


Improved comfort for the patient


Hot Soup Burn

Initial Consult Post Burn Day 3

Case Study 3

Burn Case Study 3


Case Study 3 – Hot soup burn


Minimizes trauma and pain at dressing application and removal

• Gentle Removal

• Eliminates stripping of epidermal cells



Safetac® technology and silver a perfect combination!

mepilex ag by dr. sunil keswani, national burns centre, airoli

Health & Medicine

odour pain

surrounding skin

management of wound

skin cells

skin stripping

skin barrier

partial thickness burns

wound margins